hosting-rebates: web hosting rebates in 3 easy steps

Friday, 05 September 2008

Rebate Form

Please fill out the following form to receive your hosting rebate as soon as possible. If you submit false information your rebate may take longer to process or may even be denied.

Your Name *

Enter your full name (Should be the same name you used to sign up for hosting)

Email Address *

Please enter the same email address you used to sign up for hosting

Phone Number *

Host you signed up with *

Please select the host you signed up with

Plan Purchased *

Please tell us the name of the hosting plan you purchased

Domain Name *

Please tell us the domain name you signed up with for hosting

Purchase Date and Time *

Please enter the purchase date in the following format: day/month/year. If possible please include the time you purchased (an estimate will also do), as this will help us verify your purchase quicker.

Paypal Email *

Please enter the paypal email where you would like your rebate sent.

Additional Comments

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